| NPI | 1699193268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-151954) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 61445) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2023-08-29 |